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2027 OPPS proposed rule: Hospitals could face major cuts to payments, more complex price transparency rules

Wed, 07/08/2026
Revenue Integrity Insider
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, News, Monitoring and Audits, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Hospitals could be facing lower reimbursement for non-drug items and services, 340B drugs, excepted off-campus provider-based department (PBD) services, as well as additional price transparency and prior authorization requirements, according to CMS’ 2027 Outpatient Prospective Payment System (OPPS) proposed rule.

Identifying the root causes of denials

Wed, 07/08/2026
Revenue Integrity Insider
Revenue Integrity, Monitoring and Audits, Denials and Appeals

Learn how to uncover the root causes of denials.

Download the July 2026 issue of the NAHRI Journal

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Set revenue integrity in motion.

Putting revenue integrity in the spotlight

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Revenue Integrity

Put revenue integrity in the spotlight.

Rethinking charge capture: How team design can unlock focus and revenue opportunity

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Program Management, Compliance, Chargemaster and Charge Capture

Tiffany LaPlante, RMC, RMM, share how team design can unlock focus and revenue opportunity.

A bigger picture: A closer look at CMS’ 2027 IPPS proposed rule

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Understand the implications of the 2027 IPPS proposed rule.

Don’t leave money on the table: Solving out-of-network and zero-balance recovery

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Billing and Claims, Monitoring and Audits, Compliance

Gain insights into how to optimize systems and shore up revenue.

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